Quality Payment Program (QPP) Eligibility
Beginning in Performance Year 2019, CMS increased the low volume threshold for QPP participation. Individuals and groups that do not meet the low volume threshold are not required to report MIPS or participate in an APM. Physicians and other clinicians fall under the low-volume threshold and receive an exemption from MIPS if they:
Individuals and groups that exceed at least one but not all of the thresholds may opt-in to report MIPS. Once an individual or group decides to submit data to CMS via the opt-in option, they will be scored and payment adjustments based upon their performance will apply.
Individuals and groups can check their participation status, including if they participate in an APM, on the Quality Payment Program (QPP) website.